2011 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
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Plan Name | County | Monthly Prem. (Parts C & D) |
Deduct- ible |
(Donut Hole) Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance 30-Day Supply |
MOOP for Part A & B Benefits | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Anderson | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Bastrop | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Bell | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Bosque | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Brazos | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Burleson | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Burnet | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Cherokee | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Coke | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Coleman | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Concho | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Coryell | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Crockett | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Falls | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Fayette | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Gregg | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Grimes | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Hamilton | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Henderson | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Hill | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Irion | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Kimble | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Lampasas | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Lee | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Leon | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Limestone | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Llano | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Madison | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Mason | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
McCulloch | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
McLennan | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Menard | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Milam | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Mills | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Rains | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Reagan | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Robertson | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Runnels | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Rusk | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
San Saba | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Schleicher | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Smith | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Sterling | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Sutton | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Tom Green | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Travis | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Van Zandt | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Washington | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Williamson | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Preferred - Basic Rx (Cost) in TX - H4564-002-0 Benefit Details |
Wood | $137.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $64.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
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